| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MountainHealth Co-op
| Facility | $501.19 | $630.96 | $691.83 | |
MountainHealth Co-op
| Professional | $501.19 | $630.96 | $691.83 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |
Unlisted maxillofacial prosthetic procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MountainHealth Co-op
| Facility | $501.19 | $630.96 | $691.83 | |
MountainHealth Co-op
| Professional | $501.19 | $630.96 | $691.83 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |